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Jan-29-2003 01:58pm From—CITY OF ORONO +9522494616 T-837 P.007/007 F-1TT � SeC.13.04 RIGHTS OF SUBJECTS OF DATA Subd. I. Type of data. 7he righcs of individual on whom�he dara is storzd or�o be s[orcd sAaif be ss set for�h in rhis socdon_ Sub3 2. Infonaation required to be�iven individuai. .4n individus!askcd w supply private or confidencial dsca concerniag himself sF�ill Da intormed of: (a)�he puryosc sad intcndad use oP�he requescad dan wi�hin rhe ropm�ing srsw sgency,poli[ical suhdivtsion,or statewide sysmm:(b)whecher he may refuse or is}egally required oo w�ply�he requesred dara;{c}sny Icnowa conscquence arising from his wpplyirtg or retvsing m�„pp�y prnrsce or eonfidend�t dan;and(�rha;denery of o�hec persong or cnddes au�horiud by sa�s or federal law co ceccivc ttre dan. This r�quiremenc shall no�apply whcn an individual is asYed eo supply invos�igadve dara, pursuant co sec[ion 13.92, subdivision S, co a law eaforcemenc oeitcer. , The oommissioner eF rovarx�e mav o1ac�d,e.+nhce req�ired undcr thia a��?xiivision in che individml in e eax � e e rsx refvnd inscructionS�ngt�a�Qf on dlose frn,nc. Subd.3. Accr;s to data by indivldwll. Upon requesc co a responsible authoriry,an indivtduat shall be informcd wherher he is dte subjzc�oP scored dsta on individuals,and whesher ic is classified as pnblic,priva�or cont'idantiaL Upon his furdter reqacs�,an individusl wtto is rha subjecc of srored priw�te or pubtic data on individuals sh�11 be shown d�e darr wi�hau u�y charge co him 3nd, if he desirts,shaU be informed of d�e comenc and meaninp of�a�dan. Afrer an ir�dividual has been shown che privace daa and informed of ics meaning.�he dsra need no�be discfoscd w tum ier siz monshs thecexfur unless a dispuee or accion pursvsnc�n�is s�cdon is pending or addiciorial da�a vn d�e individual ha,been eollec¢d or erzaced. 'Iha n:sponsiblc audioriry sha!!provide copies oP d�e priraec or pubtic dara opon rcqucse Dy the individual sut�jeci of cAe da�s. The rasponsible au�Toriry may requira ehe requesdng person so psy rhe ac[ual cosu oP matcing.certifying,and compiling rha eepies. The responsible suttwriry shsll eomply imme�iao�ly,if possibfe,wi�,any request made pursusnc co[his subdivision,or within five days of rfee daca oP tha raques�,�.xcluding Sa�urdays,Surdsys aad l�gal hotiaays,if immedia�e compliance is noc possibte. If he csnnoc comply wi�h �he rzq�:=sc within chs�rim:,he shall so inform du individusl,and may have an additional five days within which to camply with th�rcqucst, excludins Saturdays,Sundiys and Iegal holidays. Subd.4, Proce3ure tivLen data is not secura�e or complete. An individual tnay conu.tt the acearaey or compleceaess of puhtie or privarc dsq corsccming himsc)f. To exercise this righ�,an individusl st�all no�ify in wriring�he responsibla aud�ority describing the na�ure of�e disa_rcrrr.cnc. 11u respor►s�bic surhorip�shall wi�in 30 d�ys ei�er. (a)comxc rhe dsa fowid ro be inauuraa ar ineosnplete and aaempc w�ocify p2s�r��iFients ot ieacturate or incomplex dsl.a.in�cluding recipiena rcsmed by die ind;vidual:or(b)noafy uie individual thyc he believes�e Qan �o bz correc�. Daua in dispu�e shaIl be discloxd oNy if the individual's staamen�oF disagreemenc is inctuded wieh�Eec disclosed data. 'Ihe detersninadcrn of rhe responsible au�ericy mny be appealed pursuanc w ihe provisions of�he admminiscraei�e proccduce act rolaang to con�esud cases. DA'Y'A pi2NACY ADVISORY In aeeordanee wich M_S. 13.d4, Subd. 2, "kighes of subjeeu of daca", we would Iilce to inform you thac your reques� for a permit or license from The�iry of Orono or any of its deparunenes may require yo�co fi�rnish certain priva�e or confidential informatioa. You are notified cha�: 1. The iniormation you furnish will be used to determiae your qvatification for the permit or license requested. 2. You may refuse to suppty data, but reftisal may r�quira [hac che Ciry deny the permic or lieense. 3. 7he inrormacion may be shared with o[her local, stace or federal aoencies [o �he excent necessary to process the permit or ticense. a. If your reques�ed permit or lieense requires Council action to approve, some infor:aation may become public. �. You have certain righcs under M.S. I3.04(availa6le upon reques�) co review private da�a on yourself. 5. Your fiill name is required to Qrocess �his application or permit_ �°��Y � - �'�c-r�-�- Firsc Middle Las� � 5Do ��L�� n�z-. aaa�ess _ "' �b} (`.'�,�� S�"�3�p ?�2��3S—�j�Z- City Sta�e Zig Phone I unders d y ri is as s�aced ove. � Signan,za 4 6